FORM 1023-EZ for CHANGING THE WORLD ONE BY ONE

Field Data
EIN 81-1952073
Case Number EO-2016109-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGING THE WORLD ONE BY ONE
Organization’s Mailing Address PO BOX 1642
City MADISON
State TN
ZIP 37116
Accounting period End 3
Primary contact name SSALLUE KROMAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLUE KROMAH
PRESIDENT/CEO
200 PARAGON MILLS RD B20
NASHVILLE TN 37211

Officer/Director/Trustee Two

FABRIENNE OGLESBY
CFO
6884 HICKORY RIM COURT
ANTIOCH TN 37013

Officer/Director/Trustee Three

KEITHA GREEN
SECRETARY
1476 SNELL BLVD
NASHVILLE TN 37218

Officer/Director/Trustee Four

RHONDA OGLESBY
BOARD MEMBER
4891 CLARKSVILLE HWY
WHITES CREEK TN 37189

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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